Treatment of Post Burn Scar Extended Deformity of the Toes IV Degree and Using Bridge Cellular Cutaneous Flap

Babur M. Shakirov, Ysuf M. Ahmedov, Sanoat H. Zohidova, Erkin A. Hakimov, Komil R. Tagaev

Samarkand State Medical Institute, Burn Department of RSCUMA and Inter-Regional Burn Center, Samarkand, Uzbekistan.
Samarkand State Medical Institute, Burn Department of RSCUMA and Inter-Regional Burn Center, Samarkand, Uzbekistan..

DOI: 10.4236/mps.2013.33019                

Abstract

Post burn dorsal foot contractures of the toes of the IV degree cause functional limitations of all lower extremities, which creates a serious cosmetic defect, and therefore, needs surgical reconstruction. The series of 11 patients (7 men and 4 women) with extended contracture of the 4th degree of toes after burn were operated upon by using the new method with the flap including subcutaneous tissue (bridge-like stem), and the operations were performed at Samarkand Burn Center, Samarkand, Uzbekistan. We observed a good result with no complications. The flap was viable, and its sensibility was preserved. No marginal necrosis was noticed. As a result, the use of this method allowed achieving normal aesthetic outlines. The flap acquired the properties of the healthy skin without contracture. For the whole operated feet, it is important to wear pressure socks as soon as the wounds are fully healed and to continue this pressing therapy until the edema and recurrence of contracture are no longer being the problems. This usually means a period of 6 to 9 months.

Keywords

Burns; Foot; Post Burn Dorsal Flexion Contracture and Surgical Treatment

Conflicts of Interest

The authors declare no conflicts of interest.

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